Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1111
Version No:1.0
Subject:Update Patch
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:3 November 2009

Background:

This patch corrects the following items in the NHS Data Model and Dictionary:

Summary of changes:

Diagrams
ACTIVITY   Changed Diagram
PATIENT PATHWAY   Changed Diagram
 
Data Set
CDS V6 TYPE 190   Changed Description
HES - CDS DATA ITEMS CROSS REFERENCED BY HES ITEM - TABLE 2   Changed Description
HES - CDS DATA ITEMS CROSS REFERENCED BY HES NAME - TABLE 1   Changed Description
 
Supporting Information
MENTAL HEALTH CARE WITHOUT PATIENT CONSENT renamed from MHC WITHOUT PATIENT CONSENT   Changed Name, Aliases
PUBLICATION INFORMATION CONTACT DETAILS   Changed Description
WHAT'S NEW: SEPTEMBER 2009   Changed Description
 
Class Definitions
ACCOMMODATION STATUS   Changed Relationships
ACTIVITY DATE TIME   Changed Attributes
ALCOHOL STATUS   Changed Relationships
ASPIRIN THERAPY LOCATION   Changed Relationships
BLEED COMPLICATION   Changed Relationships
CARE PLAN   Changed Attributes
ELECTIVE ADMISSION LIST ENTRY   Changed Description
ETHNIC CATEGORY   Changed Relationships
JOINT REPLACEMENT REVISION CLASSIFICATION   Changed Relationships
LANGUAGE CLASSIFICATION   Changed Relationships
LEGAL STATUS CLASSIFICATION   Changed Relationships
ORGANISATION   Changed Relationships
PATIENT CLINICAL GROUP   Changed Relationships
PERFORMANCE STATUS   Changed Relationships
PERSON GENDER   Changed Relationships
PERSON MARITAL STATUS   Changed Relationships
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION   Changed Relationships
SARCOMA PREDISPOSING CONDITION   Changed Relationships
SERVICE REQUEST   Changed Relationships
SEXUAL ORIENTATION   Changed Relationships
SKIN LYMPHOMA MORPHOLOGY   Changed Relationships
 
Attribute Definitions
ACTIVITY GROUP TYPE   Changed Description
MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER)   Changed Aliases
 
Data Elements
ARRIVAL TIME   Changed Description
DELIVERY METHOD   Changed Description, linked Attribute
GENERAL MEDICAL PRACTITIONER (SPECIFIED)   Changed Description
HRG DOMINANT GROUPING VARIABLE-PROCEDURE   Changed Description
PATIENT CLASSIFICATION   Changed Description
PRIMARY OPERATION (OPCS-4)   Changed Description
PRIMARY PROCEDURE (OPCS)   Changed Description
PROCEDURE CODING   Changed Description
REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)   Changed linked Attribute
REFERRER CODE   Changed Description
TOTAL INFORMAL ADMISSIONS (FEMALE)   Changed Description
TOTAL INFORMAL ADMISSIONS (MALE)   Changed Description
TOTAL INFORMAL PATIENTS (FEMALE)   Changed Description
TOTAL INFORMAL PATIENTS (MALE)   Changed Description
TOTAL NUMBER OF LEGAL STATUS CLASSIFICATION CHANGES FOR TYPE   Changed Description
 

Date:3 November 2009
Sponsor:Richard Kavanagh, NHS Connecting for Health

Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.

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ACTIVITY

Change to Diagram: Changed Diagram

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PATIENT PATHWAY

Change to Diagram: Changed Diagram

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CDS V6 TYPE 190

Change to Data Set: Changed Description

CDS V6 TYPE 190 - ADMITTED PATIENT CARE - UNFINISHED GENERAL EPISODE CDS

The Admitted Patient Care Unfinished General Episode Commissioning Data Set Type carries the data for an Unfinished General Consultant/ Midwife/ Nurse Episode.

It covers all NHS and private Admitted Patient Care (day case and inpatient) activity taking place in any acute, community, psychiatric NHS Trust or Primary Care Trust or other NHS hospital under the care of a consultant, midwife or nurse. Additionally, NHS funded Admitted Patient Care taking place in non-NHS hospitals and institutions is required.

An Unfinished General Episode Commissioning Data Set record is required for all Unfinished General Episodes at midnight on 31 March each year. Unfinished General Episode Commissioning Data Set records are also required for short-stay informal psychiatric patients who are resident in hospital or on leave of absence (home leave) on 31 March and who have been in hospital for less than 12 months.

The CDS TYPE 190 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (shown independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
HOSPITAL PROVIDER SPELL
CONSULTANT EPISODE
CRITICAL CARE PERIOD
GP REGISTRATION
REFERRAL
EAL ENTRY
HEALTHCARE RESOURCE GROUP

The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data must be included where available
O = Optional - data need not be included
* = Must Not Be Used
R in the column headed U/A indicates the data is required in the Unfinished Episode / Annual Census of Unfinished Episode record and on an End of Year Census record.
An entry in the column headed HES indicates that the data element is extracted from the SUS database for Hospital Episode Statistics. Data extracted for Hospital Episode Statistics purposes contains some derived items. The CDS/HES Cross Reference Tables show these derivations.

CDS V6 TYPE 190 - THE UNFINISHED GENERAL EPISODE CDS
 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
OptCDS data elementU/AHES
OUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)   
OPATIENT PATHWAY IDENTIFIER   
OORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)   
OREFERRAL TO TREATMENT STATUS   
OREFERRAL TO TREATMENT PERIOD START DATE   
OREFERRAL TO TREATMENT PERIOD END DATE   
*LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)  
CDS DATA GROUP: PATIENT IDENTITY:
To carry the identity details of the Patient.
One occurrence of this Group is permitted.
OptCDS data elementU/AHES
MLOCAL PATIENT IDENTIFIER R 
MORGANISATION CODE (LOCAL PATIENT IDENTIFIER) R  
MNHS NUMBER R 
MNHS NUMBER STATUS INDICATOR R 
OPATIENT NAME R 
OPATIENT USUAL ADDRESS R 
MPOSTCODE OF USUAL ADDRESS R 
MORGANISATION CODE (PCT OF RESIDENCE) R 
MPERSON BIRTH DATE
(from Commissioning Data Set version 6-1 onwards)
R 
 

Note:
For  Security Issues and Patient Confidentiality, the PATIENT NAME and PATIENT USUAL ADDRESS (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS NUMBER is present, even if the NHS NUMBER is not verified.

For patients with sensitive conditions (as defined in  Security Issues and Patient Confidentiality), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIERNHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, and PERSON BIRTH DATE.

 
  
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the characteristics of the Patient.
One occurrence of this Group is permitted.
MPERSON BIRTH DATE 
(Commissioning Data Set version 6-0 only)
R 
MPERSON GENDER CURRENT R 
OCARER SUPPORT INDICATOR R 
METHNIC CATEGORY R 
M
 
MARITAL STATUS
(psychiatric patients only)
R
 

 
M
 
PERSON MARITAL STATUS
(psychiatric patients only)
R
 

 
M
 
LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)
(psychiatric patients only)
R
 

 
CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Admission Characteristics:
To carry the details of the Spell containing the Episode.
One occurrence of this Group is permitted.
MHOSPITAL PROVIDER SPELL NUMBER R 
MADMINISTRATIVE CATEGORY (ON ADMISSION) R 
MPATIENT CLASSIFICATION R 
MADMISSION METHOD (HOSPITAL PROVIDER SPELL) R 
MSOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) R 
MSTART DATE (HOSPITAL PROVIDER SPELL) R 
MAGE ON ADMISSION R 
CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Discharge Characteristics:
To carry the discharge details of the Spell containing the Episode.
One occurrence of this Group is permitted.
MDISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)   
MDISCHARGE METHOD (HOSPITAL PROVIDER SPELL)   
ODISCHARGE READY DATE (HOSPITAL PROVIDER SPELL)   
MDISCHARGE DATE (HOSPITAL PROVIDER SPELL)   
CDS DATA GROUP: CONSULTANT EPISODE - Activity Characteristics:
To carry the details of the Episode undergone by the Patient.
One occurrence of this Group is permitted.
MEPISODE NUMBER R 
MLAST EPISODE IN SPELL INDICATOR R 
*ADMINISTRATIVE CATEGORY (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board for Health and Social Care)
R 
MOPERATION STATUS R 
ONEONATAL LEVEL OF CARE R 
OFIRST REGULAR DAY OR NIGHT ADMISSION R 
MPSYCHIATRIC PATIENT STATUS R 
*LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board for Health and Social Care)
(psychiatric patients only)
R 
M

 
START DATE (EPISODE)
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE 
R

 


 
MEND DATE (EPISODE)   
MAGE AT CDS ACTIVITY DATE   
CDS DATA GROUP: CONSULTANT EPISODE - Service Agreement Details:
To carry the details of the Service Agreement for the Episode.
MCOMMISSIONING SERIAL NUMBER R 
ONHS SERVICE AGREEMENT LINE NUMBER R 
OPROVIDER REFERENCE NUMBER   
MCOMMISSIONER REFERENCE NUMBER R 
MORGANISATION CODE (CODE OF PROVIDER) R 
MORGANISATION CODE (CODE OF COMMISSIONER) R 
CDS DATA GROUP: CONSULTANT EPISODE - Person Group (Consultant):
To carry the details of the responsible Consultant, Midwife or Nurse.
One occurrence of this Group is permitted.
MCONSULTANT CODE R 
MMAIN SPECIALTY CODE R 
MTREATMENT FUNCTION CODE R 
CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (ICD):
To carry the details of the ICD Diagnoses.
MDIAGNOSIS SCHEME IN USE   
MPRIMARY DIAGNOSIS (ICD)   
M
 
SECONDARY DIAGNOSIS (ICD)
(Multiple occurrences may be recorded)
 
 

 
CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (READ):
To carry the details of the READ Diagnoses.
ODIAGNOSIS SCHEME IN USE   
OPRIMARY DIAGNOSIS (READ)   
O
 
SECONDARY DIAGNOSIS (READ)
(Multiple occurrences may be recorded)
 
 

 
CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (OPCS):
To carry the details of the OPCS coded Clinical Activities.
MPROCEDURE SCHEME IN USE   
M
M
PRIMARY PROCEDURE (OPCS)
PROCEDURE DATE 
 
 

M
M
(Multiple occurrences of this sub-group may be recorded)
PROCEDURE (OPCS)
PROCEDURE DATE 
 

 
CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (READ):
To carry the details of the READ coded Clinical Activities.
OPROCEDURE SCHEME IN USE   
O
O
PRIMARY PROCEDURE (READ)
PROCEDURE DATE 
   

O
O
(Multiple occurrences of this sub-group may be recorded)
PROCEDURE (READ)
PROCEDURE DATE 
   
CDS DATA GROUP: CONSULTANT EPISODE - Location Group At Start Of Episode:
To carry the details of the location at the start of the Episode.
One occurrence of this Group is permitted.
MLOCATION CLASS R 
MSITE CODE (OF TREATMENT) R 
OLOCATION TYPE
This is currently for piloting purposes
R 
OINTENDED CLINICAL CARE INTENSITY R 
OAGE GROUP INTENDED R 
OSEX OF PATIENTS R 
OWARD DAY PERIOD AVAILABILITY R 
OWARD NIGHT PERIOD AVAILABILITY R 
CDS DATA GROUP: CONSULTANT EPISODE - Location Group Of Ward Stay:
To carry the details of one or more Ward Stays.
Up to 97 occurrences of this Group are permitted.
MLOCATION CLASS   
MSITE CODE (OF TREATMENT)   
*LOCATION TYPE
Definition and value list under review
  
OINTENDED CLINICAL CARE INTENSITY   
OAGE GROUP INTENDED   
OSEX OF PATIENTS   
OWARD DAY PERIOD AVAILABILITY   
OWARD NIGHT PERIOD AVAILABILITY   
OSTART DATE   
OEND DATE   
CDS DATA GROUP: CONSULTANT EPISODE - Location Group At End Of Episode:
To carry the details of the location at the end of the Episode.
One occurrence of this Group is permitted.
MLOCATION CLASS   
MSITE CODE (OF TREATMENT)   
*LOCATION TYPE
Definition and value list under review
  
OINTENDED CLINICAL CARE INTENSITY   
OAGE GROUP INTENDED   
OSEX OF PATIENTS   
OWARD DAY PERIOD AVAILABILITY   
OWARD NIGHT PERIOD AVAILABILITY   
CDS DATA GROUP: NEONATAL CRITICAL CARE PERIOD:
To carry the details of the first 9 Critical Care Periods for Neonatal Critical Care.
See CRITICAL CARE PERIOD
The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode.
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL CARE - Admission Characteristics
To carry the details of the Admission to Adult Neonatal Care.
One occurrence is permitted for each Critical Care Period recorded.
MCRITICAL CARE LOCAL IDENTIFIER R 
MCRITICAL CARE START DATE R 
MCRITICAL CARE START TIME R 
MCRITICAL CARE UNIT FUNCTION R 
MGESTATION LENGTH (AT DELIVERY)   
CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL DAILY CARE - Activity Characteristics
To carry the details of the Neonatal Critical Care Activity.
Up to 999 daily occurrences per Critical Care Period are supported.
MACTIVITY DATE (CRITICAL CARE) R 
OPERSON WEIGHT R 
M
 
CRITICAL CARE ACTIVITY CODE
(up to 20 Codes may be recorded per daily occurrence)
R
 

 
M
 
HIGH COST DRUGS (OPCS)
(up to 20 Codes may be recorded per daily occurrence)
R
 

 

CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL CARE - Discharge Characteristics
To carry the details of the Discharge from Neonatal Critical Care.
One occurrence of this Group is permitted.
MCRITICAL CARE DISCHARGE DATE R 
MCRITICAL CARE DISCHARGE TIME R 
CDS DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD:
To carry the details of the first 9 Critical Care Periods for Paediatric Critical Care.
See CRITICAL CARE PERIOD
The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode.
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Admission Characteristics
To carry the details of the Admission to Paediatric Critical Care.
One occurrence is permitted for each Critical Care Period recorded.
MCRITICAL CARE LOCAL IDENTIFIER R 
MCRITICAL CARE START DATE R 
MCRITICAL CARE START TIME R 
MCRITICAL CARE UNIT FUNCTION R 
CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC DAILY CARE - Activity Characteristics
To carry the details of the Paediatric Critical Care Activity.
Up to 999 daily occurrences per Critical Care Period are supported.
MACTIVITY DATE (CRITICAL CARE) R 
M
 
CRITICAL CARE ACTIVITY CODE
(up to 20 Codes may be recorded per daily occurrence)
R
 

 
M
 
HIGH COST DRUGS (OPCS)
(up to 20 Codes may be recorded per daily occurrence)
R
 

 

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Discharge Characteristics
To carry the details of the Discharge from Paediatric Critical Care.
One occurrence of this Group is permitted for each Critical Care Period.
MCRITICAL CARE DISCHARGE DATE R 
MCRITICAL CARE DISCHARGE TIME R 
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE:
To carry the details of the first 9 Critical Care Periods for Adult Critical Care.
See CRITICAL CARE PERIOD
Where there are multiple Critical Care Periods within the Consultant Episode then only the first 9 Critical Care Periods should be included.
The Critical Care Period may overlap Consultant/ Midwife/ Nurse Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Consultant/ Midwife/ Nurse Episode.
CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present. Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Admission Characteristics
To carry the details of the Admission to Adult Critical Care.
One occurrence is permitted for each Critical Care Period recorded.
MCRITICAL CARE LOCAL IDENTIFIER R 
MCRITICAL CARE START DATE R 
OCRITICAL CARE START TIME R 
MCRITICAL CARE UNIT FUNCTION R 
OCRITICAL CARE UNIT BED CONFIGURATION   
OCRITICAL CARE ADMISSION SOURCE   
OCRITICAL CARE SOURCE LOCATION   
OCRITICAL CARE ADMISSION TYPE   
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Activity Characteristics
To carry the details of the Adult Critical Care Activity.
Up to 9 occurrences are supported.
MADVANCED RESPIRATORY SUPPORT DAYS   
MBASIC RESPIRATORY SUPPORT DAYS   
MADVANCED CARDIOVASCULAR SUPPORT DAYS   
MBASIC CARDIOVASCULAR SUPPORT DAYS   
MRENAL SUPPORT DAYS   
MNEUROLOGICAL SUPPORT DAYS   
OGASTRO-INTESTINAL SUPPORT DAYS   
MDERMATOLOGICAL SUPPORT DAYS   
MLIVER SUPPORT DAYS   
OORGAN SUPPORT MAXIMUM   
MCRITICAL CARE LEVEL 2 DAYS   
MCRITICAL CARE LEVEL 3 DAYS   
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Discharge Characteristics
To carry the details of the Discharge from Adult Critical Care.
One occurrence of this Group is permitted.
MCRITICAL CARE DISCHARGE DATE R 
MCRITICAL CARE DISCHARGE TIME R 
OCRITICAL CARE DISCHARGE READY DATE R 
OCRITICAL CARE DISCHARGE READY TIME R 
OCRITICAL CARE DISCHARGE STATUS R 
OCRITICAL CARE DISCHARGE DESTINATION R 
OCRITICAL CARE DISCHARGE LOCATION R 
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
OGENERAL MEDICAL PRACTITIONER (SPECIFIED) R 
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) R 
CDS DATA GROUP: REFERRAL:
To carry the details of the referrer.
One occurrence of this Group is permitted.
MREFERRER CODE R 
MREFERRING ORGANISATION CODE R 
CDS DATA GROUP: ELECTIVE ADMISSION LIST:
To carry the details of the Elective Admission List Entry.
One occurrence of this Group is permitted.
MDURATION OF ELECTIVE WAIT R 
MINTENDED MANAGEMENT R 
MDECIDED TO ADMIT DATE R 
OEARLIEST REASONABLE OFFER DATE R 
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
One occurrence of this Group is permitted.
OHEALTHCARE RESOURCE GROUP CODE   
OHEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER   
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Clinical Activity Group:
To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted.
One Procedure, either OPCS or READ, may be specified.
OPROCEDURE SCHEME IN USE   
OHRG DOMINANT GROUPING VARIABLE-PROCEDURE   

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HES - CDS DATA ITEMS CROSS REFERENCED BY HES ITEM - TABLE 2

Change to Data Set: Changed Description

HES / CDS Data Elements cross referenced by HES Item - Table 2
CDS Type key:

G = General Episode
D = Delivery Episode
B = Birth Episode
PC = Detained and or Long Term Psychiatric Census
OD = Other Delivery
OB = Other Birth

= Mandatory for this CDS Type
O = Optional for this CDS Type

HES Item HES Name CDS Data Element CDS TYPE 
   G D B PC OD OB 
ADMINISTRATIVE CATEGORY (on admission)ADMINCAT ADMINISTRATIVE CATEGORY (on admission)      
ADMISSION METHOD (HOSPITAL PROVIDER SPELL)ADMIMETH ADMISSION METHOD (HOSPITAL PROVIDER SPELL)       
AGE AT CENSUSCENSAGE AGE AT CENSUS       
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERYDELPREAN ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY       
ANAESTHETIC GIVEN POST LABOUR OR DELIVERYDELPOSAN ANAESTHETIC GIVEN POST LABOUR OR DELIVERY       
AUGMENTED CARE LOCAL IDENTIFIERAPLOCID AUGMENTED CARE PERIOD LOCAL IDENTIFIER O O O    
AUGMENTED CARE LOCAL IDENTIFIERACPLOCID AUGMENTED CARE PERIOD LOCAL IDENTIFIER O O O    
AUGMENTED CARE LOCATIONACPLOC AUGMENTED CARE LOCATION       
AUGMENTED CARE OUTCOME INDICATORACPOUT AUGMENTED CARE OUTCOME INDICATOR       
AUGMENTED CARE PERIOD DISPOSALACPDISP AUGMENTED CARE PERIOD DISPOSAL       
AUGMENTED CARE PERIOD NUMBERACPN AUGMENTED CARE PERIOD NUMBER       
AUGMENTED CARE PERIOD SOURCEACPSOUR AUGMENTED CARE PERIOD SOURCE       
AUGMENTED CARE PLANNED INDICATORACPPLAN AUGMENTED CARE PLANNED INDICATOR       
BIRTH DATEDOB BIRTH DATE       
BIRTH DATE (BABY)DOBBABY BIRTH DATE (BABY)       
BIRTH DATE (MOTHER)MOTDOB BIRTH DATE (MOTHER)       
BIRTH ORDERBIRORDER BIRTH ORDER       
BIRTH WEIGHTBIRWEIT BIRTH WEIGHT       
CARER SUPPORT INDICATORCARERSI CARER SUPPORT INDICATOR O  O O   
CATEGORY OF PATIENTCATEGORY Not in CDS      
CODE OF GP PRACTICE (REGISTERED GMP)GPPRAC GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) O O O O O O 
COMMISSIONING SERIAL NUMBERCSNUM COMMISSIONING SERIAL NUMBER       
CONSULTANT CODECONSULT CONSULTANT CODE       
DATE DETENTION COMMENCEDDETNDATE DATE DETENTION COMMENCED       
DECIDED TO ADMIT DATEELECDATE DECIDED TO ADMIT DATE (for this provider)      
DELIVERY METHODDELMETH DELIVERY METHOD       
DELIVERY PLACE CHANGE REASONDELCHANG DELIVERY PLACE CHANGE REASON       
DELIVERY PLACE TYPE (ACTUAL)DELPLACE DELIVERY PLACE TYPE (ACTUAL)       
DELIVERY PLACE TYPE (INTENDED)DELINTEN DELIVERY PLACE TYPE (INTENDED)       
DETAINED AND OR LONG TERM PSYCHIATRIC CENSUS DATECENDATE DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE       
DISCHARGE DATE (HOSPITAL PROVIDER SPELL)DISDATE DISCHARGE DATE (HOSPITAL PROVIDER SPELL)       
DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)DISDEST DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)       
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)DISMETH DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)       
DURATION OF CARE TO PSYCHIATRIC CENSUS DATECENDUR DURATION OF CARE TO PSYCHIATRIC CENSUS DATE       
DURATION OF DETENTIONDETDUR DURATION OF DETENTION       
DURATION OF ELECTIVE WAITELECDUR DURATION OF ELECTIVE WAIT       
END DATE (AUGMENTED CARE PERIOD)ACPEND END DATE (AUGMENTED CARE PERIOD)       
END DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE)EPIEND END DATE (EPISODE)       
EPISODE NUMBEREPIORDER EPISODE NUMBER       
EPISODE STATUSEPISTAT Not in CDS      
EPISODE TYPEEPITYPE Not in CDS      
ETHNIC CATEGORYETHNOS ETHNIC CATEGORY   O   O 
FIRST ANTENATAL ASSESSMENT DATEANASDATE FIRST ANTENATAL ASSESSMENT DATE       
FIRST REGULAR DAY OR NIGHT ADMISSIONFIRSTREG FIRST REGULAR DAY OR NIGHT ADMISSION       
GESTATION LENGTHGESTAT GESTATION LENGTH       
GMP (CODE OF REGISTERED OR REFERRING GMP)REGGMP GENERAL MEDICAL PRACTITIONER (SPECIFIED)       
HEALTHCARE RESOURCE GROUP CODEHRGNHS HEALTHCARE RESOURCE GROUP CODE       
HEALTHCARE RESOURCE GROUP CODE - VERSION NUMBERHRGNHSVN HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER       
HIGH DEPENDENCY CARE LEVEL DAYSDEPDAYS HIGH DEPENDENCY CARE LEVEL DAYS       
HOSPITAL PROVIDER SPELL NUMBERPROVSPNO HOSPITAL PROVIDER SPELL NUMBER       
HRG DOMINANT GROUPING VARIABLE - PROCEDUREDOMPROC HRG DOMINANT GROUPING VARIABLE-PROCEDURE O O O O   
INTENDED MANAGEMENTINTMANIG INTENDED MANAGEMENT       
INTENSIVE CARE LEVEL DAYSINTDAYS INTENSIVE CARE LEVEL DAYS       
LABOUR OR DELIVERY ONSET METHODDELONSET LABOUR OR DELIVERY ONSET METHOD       
LAST EPISODE IN SPELL INDICATORSPELEND LAST EPISODE IN SPELL INDICATOR       
LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)LEGLSTAT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)       
LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)LEGLCAT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)       
LIVE OR STILL BIRTHBIRSTATE LIVE OR STILL BIRTH       
LOCAL PATIENT IDENTIFIERLOPATID LOCAL PATIENT IDENTIFIER       
MAIN SPECIALTY CODEMAINSPEF MAIN SPECIALTY CODE       
MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD)ACPSPEF MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD)       
MARITAL STATUSMARSTAT MARITAL STATUS       
MENTAL CATEGORYMENTCAT MENTAL CATEGORY       
NEONATAL LEVEL OF CARENEOCARE NEONATAL LEVEL OF CARE       
NHS NUMBERNEWNHSNO NHS NUMBER   O O  O 
NHS NUMBER STATUS INDICATORNHSNOIND NHS NUMBER STATUS INDICATOR       
NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODENUMACP NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE       
NUMBER OF BABIESNUMBABY NUMBER OF BABIES       
NUMBER OF ORGAN SYSTEMS SUPPORTED (for intensive care level only)ORGSUP NUMBER OF ORGAN SYSTEMS SUPPORTED       
OPERATION (OPCS-4)OPERATN2
- OPERATN12
 
PROCEDURE (OPCS)       
OPERATION (OPCS-4)OPERTN2
- OPERTN12
 
PROCEDURE (OPCS)       
OPERATION STATUS (per episode)OPERSTAT OPERATION STATUS (per episode)      
ORGANISATION CODE (CODE OF COMMISSIONER)PURCODE ORGANISATION CODE (CODE OF COMMISSIONER)       
ORGANISATION CODE (CODE OF PROVIDER)PROCODE ORGANISATION CODE (CODE OF PROVIDER)       
ORGANISATION CODE (PCT OF RESIDENCE)PCTR ORGANISATION CODE (PCT OF RESIDENCE)      
PATIENT CLASSIFICATIONCLASSPAT PATIENT CLASSIFICATION       
POSTCODE OF USUAL ADDRESSHOMEADD POSTCODE OF USUAL ADDRESS       
PREGNANCY TOTAL PREVIOUS PREGNANCIESNUMPREG PREGNANCY TOTAL PREVIOUS PREGNANCIES       
PRIMARY (ICD-10)CENDIAG1 PRIMARY DIAGNOSIS (ICD)       
PRIMARY (ICD-10)DIAG_1 PRIMARY DIAGNOSIS (ICD)       
PRIMARY OPERATION (OPCS-4)OPERATN1 PRIMARY OPERATION (OPCS-4)       
PRIMARY OPERATION (OPCS-4)OPERTN1 PRIMARY OPERATION (OPCS-4)       
PRIMARY PROCEDURE DATEOPDATE1 PROCEDURE DATE       
PSYCHIATRIC PATIENT STATUSADMISTAT PSYCHIATRIC PATIENT STATUS       
RECORD TYPERECTYPE Not in CDS      
REFERRER CODEREFERRER REFERRER CODE       
REFERRING ORGANISATION CODEREFERORG REFERRING ORGANISATION CODE       
RESUCITATION METHODBIRRESUS RESUSCITATION METHOD       
RESUSCITATION METHODBIRRESUS RESUSCITATION METHOD       
SECOND - TWELFTH OPERATION DATEOPDATE2
- OPDATE 12
 
PROCEDURE DATE       
SECONDARY (ICD-10)CENDIAG3
- CENDIAG14
 
SECONDARY DIAGNOSIS (ICD)       
SECONDARY (ICD-10)DIAG_3
- DIAG_14
 
SECONDARY DIAGNOSIS (ICD)       
SEXSEX SEX       
SEX (BABY)SEXBABY SEX (BABY)       
SITE CODE (OF TREATMENT) (at start of episode)SITETRET SITE CODE (OF TREATMENT)       
SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)ADMISORC SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)       
START DATE (AUGMENTED CARE PERIOD)ACPSTAR START DATE (AUGMENTED CARE PERIOD)       
START DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE)EPISTART START DATE (EPISODE)       
START DATE (HOSPITAL PROVIDER SPELL)ADMIDATE START DATE (HOSPITAL PROVIDER SPELL)       
STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUSCENSAT STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS       
STATUS OF PERSON CONDUCTING DELIVERYDELSTAT STATUS OF PERSON CONDUCTING DELIVERY       
TREATMENT FUNCTION CODETRETSPEF TREATMENT FUNCTION CODE       
WARD TYPE AT PSYCHIATRIC CENSUS DATECENWARD Not in CDS      
WARD TYPE AT START OF EPISODEWARDSTRT Not in CDS      

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HES - CDS DATA ITEMS CROSS REFERENCED BY HES NAME - TABLE 1

Change to Data Set: Changed Description

HES / CDS Data Elements cross referenced by HES Name - Table 1
CDS Type key:

G = General Episode
D = Delivery Episode
B = Birth Episode
PC = Detained and or Long Term Psychiatric Census
OD = Other Delivery
OB = Other Birth

= Mandatory for this CDS Type
O = Optional for this CDS Type

HES Name HES Item CDS Data Element CDS TYPE 
   G D B PC OD OB 
ACPDISP AUGMENTED CARE PERIOD DISPOSALAUGMENTED CARE PERIOD DISPOSAL       
ACPEND END DATE (AUGMENTED CARE PERIOD)END DATE (AUGMENTED CARE PERIOD)       
ACPLOC AUGMENTED CARE LOCATIONAUGMENTED CARE LOCATION       
ACPLOCID AUGMENTED CARE LOCAL IDENTIFIERAUGMENTED CARE PERIOD LOCAL IDENTIFIER O O O    
ACPN AUGMENTED CARE PERIOD NUMBERAUGMENTED CARE PERIOD NUMBER       
ACPOUT AUGMENTED CARE OUTCOME INDICATORAUGMENTED CARE OUTCOME INDICATOR       
ACPPLAN AUGMENTED CARE PLANNED INDICATORAUGMENTED CARE PLANNED INDICATOR       
ACPSOUR AUGMENTED CARE PERIOD SOURCEAUGMENTED CARE PERIOD SOURCE       
ACPSPEF MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD)MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD)       
ACPSTAR START DATE (AUGMENTED CARE PERIOD)START DATE (AUGMENTED CARE PERIOD)       
ADMIDATE START DATE (HOSPITAL PROVIDER SPELL)START DATE (HOSPITAL PROVIDER SPELL)       
ADMIMETH ADMISSION METHOD (HOSPITAL PROVIDER SPELLADMISSION METHOD (HOSPITAL PROVIDER SPELL)       
ADMINCAT ADMINISTRATIVE CATEGORY (on admission)ADMINISTRATIVE CATEGORY (on admission)      
ADMISORC SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)       
ADMISTAT PSYCHIATRIC PATIENT STATUSPSYCHIATRIC PATIENT STATUS       
ANASDATE FIRST ANTENATAL ASSESSMENT DATEFIRST ANTENATAL ASSESSMENT DATE       
APLOCID AUGMENTED CARE LOCAL IDENTIFIERAUGMENTED CARE PERIOD LOCAL IDENTIFIER O O O    
BIRORDER BIRTH ORDERBIRTH ORDER       
BIRRESUS RESUSCITATION METHODRESUSCITATION METHOD       
BIRSTATE LIVE OR STILL BIRTHLIVE OR STILL BIRTH       
BIRWEIT BIRTH WEIGHTBIRTH WEIGHT       
CATEGORY CATEGORY OF PATIENTNot in CDS      
CARERSI CARER SUPPORT INDICATORCARER SUPPORT INDICATOR O  O O   
CENDATE DETAINED AND OR LONG TERM PSYCHIATRIC CENSUS DATEDETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE       
CENDIAG1 PRIMARY (ICD-10)PRIMARY DIAGNOSIS (ICD)       
CENDIAG3
– CENDIAG14
 
SECONDARY (ICD-10)SECONDARY DIAGNOSIS (ICD)       
CENDUR DURATION OF CARE TO PSYCHIATRIC CENSUS DATEDURATION OF CARE TO PSYCHIATRIC CENSUS DATE       
CENSAGE AGE AT CENSUSAGE AT CENSUS       
CENSAT STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUSSTATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS       
CENWARD WARD TYPE AT PSYCHIATRIC CENSUS DATENot in CDS      
CLASSPAT PATIENT CLASSIFICATIONPATIENT CLASSIFICATION       
CONSULT CONSULTANT CODECONSULTANT CODE       
CSNUM COMMISSIONING SERIAL NUMBERCOMMISSIONING SERIAL NUMBER       
DELCHANG DELIVERY PLACE CHANGE REASONDELIVERY PLACE CHANGE REASON       
DELINTEN DELIVERY PLACE TYPE (INTENDED)DELIVERY PLACE TYPE (INTENDED)       
DELMETH DELIVERY METHODDELIVERY METHOD       
DELONSET LABOUR OR DELIVERY ONSET METHODLABOUR OR DELIVERY ONSET METHOD       
DELPLACE DELIVERY PLACE TYPE (ACTUAL)DELIVERY PLACE TYPE (ACTUAL)       
DELPOSAN ANAESTHETIC GIVEN POST LABOUR OR DELIVERYANAESTHETIC GIVEN POST LABOUR OR DELIVERY       
DELSTAT STATUS OF PERSON CONDUCTING DELIVERYSTATUS OF PERSON CONDUCTING DELIVERY       
DEPDAYS HIGH DEPENDENCY CARE LEVEL DAYSHIGH DEPENDENCY CARE LEVEL DAYS       
DELPREAN ANAESTHETIC GIVEN DURING LABOUR OR DELIVERYANAESTHETIC GIVEN DURING LABOUR OR DELIVERY       
DETDUR DURATION OF DETENTIONDURATION OF DETENTION       
DETNDATE DATE DETENTION COMMENCEDDATE DETENTION COMMENCED       
DIAG_1 PRIMARY (ICD-10)PRIMARY (ICD-10)       
DIAG_3
- DIAG_14
 
SECONDARY (ICD-10)SECONDARY DIAGNOSIS (ICD)       
DISDATE DISCHARGE DATE (HOSPITAL PROVIDER SPELL)DISCHARGE DATE (HOSPITAL PROVIDER SPELL)       
DISDEST DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)       
DISMETH DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)       
DOB BIRTH DATEBIRTH DATE       
DOBBABY BIRTH DATE (BABY)BIRTH DATE (BABY)       
DOMPROC HRG DOMINANT GROUPING VARIABLE - PROCEDUREHRG DOMINANT GROUPING VARIABLE-PROCEDURE O O O O   
ELECDATE DECIDED TO ADMIT DATEDECIDED TO ADMIT DATE (for this provider)      
ELECDUR DURATION OF ELECTIVE WAITDURATION OF ELECTIVE WAIT       
EPIEND END DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE)END DATE (EPISODE)       
EPIORDER EPISODE NUMBEREPISODE NUMBER       
EPISTART START DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE)START DATE (EPISODE),      
EPISTAT EPISODE STATUSNot in CDS      
EPITYPE EPISODE TYPENot in CDS      
ETHNOS ETHNIC CATEGORYETHNIC CATEGORY   O   O 
FIRSTREG FIRST REGULAR DAY OR NIGHT ADMISSIONFIRST REGULAR DAY OR NIGHT ADMISSION       
GESTAT GESTATION LENGTHGESTATION LENGTH       
GPPRAC CODE OF GP PRACTICE (REGISTERED GMP)GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) O O O O O O 
HOMEADD POSTCODE OF USUAL ADDRESSPOSTCODE OF USUAL ADDRESS       
HRGNHS HEALTHCARE RESOURCE GROUP CODEHEALTHCARE RESOURCE GROUP CODE       
HRGNHSVN HEALTHCARE RESOURCE GROUP CODE - VERSION NUMBERHEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER       
INTDAYS INTENSIVE CARE LEVEL DAYSINTENSIVE CARE LEVEL DAYS       
INTMANIG INTENDED MANAGEMENTINTENDED MANAGEMENT       
LEGLCAT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)       
LEGLSTAT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)       
LOPATID LOCAL PATIENT IDENTIFIERLOCAL PATIENT IDENTIFIER       
MAINSPEF MAIN SPECIALTY CODEMAIN SPECIALTY CODE       
MARSTAT MARITAL STATUSMARITAL STATUS       
MENTCAT MENTAL CATEGORYMENTAL CATEGORY       
MOTDOB BIRTH DATE (MOTHER)BIRTH DATE (MOTHER)       
NEOCARE NEONATAL LEVEL OF CARENEONATAL LEVEL OF CARE       
NEWNHSNO NHS NUMBERNHS NUMBER   O  O O 
NHSNOIND NHS NUMBER STATUS INDICATORNHS NUMBER STATUS INDICATOR       
NUMACP NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODENUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE       
NUMBABY NUMBER OF BABIESNUMBER OF BABIES       
NUMPREG PREGNANCY TOTAL PREVIOUS PREGNANCIESPREGNANCY TOTAL PREVIOUS PREGNANCIES       
OPDATE1 PRIMARY PROCEDURE DATEPROCEDURE DATE       
OPDATE2
OPDATE 12
 
SECOND - TWELFTH OPERATION DATEPROCEDURE DATE       
OPERATN1 PRIMARY OPERATION (OPCS-4)PRIMARY PROCEDURE (OPCS)       
OPERATN2
- OPERATN12
 
OPERATION (OPCS-4)PROCEDURE (OPCS)       
OPERTN1 PRIMARY OPERATION (OPCS-4)PRIMARY PROCEDURE (OPCS)       
OPERTN2
- OPERTN12
 
OPERATION (OPCS-4)PROCEDURE (OPCS)       
OPERSTAT OPERATION STATUS (per episode)OPERATION STATUS (per episode)      
ORGSUP NUMBER OF ORGAN SYSTEMS SUPPORTED (for intensive care level only)NUMBER OF ORGAN SYSTEMS SUPPORTED (for intensive care level only)      
PCTR ORGANISATION CODE (PCT OF RESIDENCE)ORGANISATION CODE (PCT OF RESIDENCE)      
PROCODE ORGANISATION CODE (CODE OF PROVIDER)ORGANISATION CODE (CODE OF PROVIDER)       
PROVSPNO HOSPITAL PROVIDER SPELL NUMBERHOSPITAL PROVIDER SPELL NUMBER       
PURCODE ORGANISATION CODE (CODE OF COMMISSIONER)ORGANISATION CODE (CODE OF COMMISSIONER)       
RECTYPE RECORD TYPENot in CDS      
REFERORG REFERRING ORGANISATION CODEREFERRING ORGANISATION CODE       
REFERRER REFERRER CODEREFERRER CODE       
REGGMP GMP (CODE OF REGISTERED OR REFERRING GMP)GENERAL MEDICAL PRACTITIONER (SPECIFIED)       
SEX SEXSEX       
SEXBABY SEX (BABY)SEX (BABY)       
SITETRET SITE CODE (OF TREATMENT) (at start of episode)SITE CODE (OF TREATMENT) (at start of episode)      
SPELEND LAST EPISODE IN SPELL INDICATORLAST EPISODE IN SPELL INDICATOR       
TRETSPEF TREATMENT FUNCTION CODETREATMENT FUNCTION CODE       
WARDSTRT WARD TYPE AT START OF EPISODENot in CDS      

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MENTAL HEALTH CARE WITHOUT PATIENT CONSENT  renamed from MHC WITHOUT PATIENT CONSENT

Change to Supporting Information: Changed Name, Aliases


PUBLICATION INFORMATION CONTACT DETAILS

Change to Supporting Information: Changed Description


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WHAT'S NEW: SEPTEMBER 2009

Change to Supporting Information: Changed Description

Release: September 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service – Local Health Boards
  • CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service – Local Health Boards

Release: June 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
  • CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
  • CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
  • CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
  • CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
  • CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6 
  • CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
  • CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
  • CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update
  • CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
  • CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
  • CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
  • CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
  • CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
  • CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6 
  • CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
  • CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
  • CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
  • CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
  • CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
  • CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal
  • CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
  • CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
  • CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
  • CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
  • CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
  • CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
  • CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 
  • CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
  • CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
  • CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
  • CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category
  • CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
  • CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
  • CR861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
  • CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
  • CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
  • CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)
  • CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
  • CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
  • CR861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
  • CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
  • CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
  • CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract
  • CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

Release: February 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
  • CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
  • CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
  • CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)
  • CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
  • CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
  • CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
  • CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
  • CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
  • CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
  • CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
  • CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
  • CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description
  • CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
  • CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
  • CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
  • CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
  • CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
  • CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
  • CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
  • CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)
  • CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
  • CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
  • CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
  • CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
  • CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return
  • CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
  • CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
  • CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
  • CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
  • CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
  • CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
  • CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
  • CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
  • CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
  • CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
  • CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return
  • CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
  • CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
  • CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
  • CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
  • CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
  • CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
  • CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
  • CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
  • CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
  • CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
  • CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
  • CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
  • CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
  • CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes
  • CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
  • CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
  • CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
  • CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
  • CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
  • CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
  • CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
  • CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
  • CR791 (1 April 2007) - DSCN 13/2006 Priority Type
  • CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status
  • CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
  • CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
  • CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
  • CR791 (1 April 2007) - DSCN 13/2006 Priority Type
  • CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
  • CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
  • Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
  • CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
  • CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
  • CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
  • CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
  • CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
  • CR690 (1 September 2005) - DSCN 16/2005 Marital Status
  • CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
  • CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
  • CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
  • CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
  • CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
  • CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
  • CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
  • CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
  • CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
  • CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code
  • CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
  • CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
  • CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
  • CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

For all Data Set Change Notices, see the Data Set Change Notice (DSCN) WebsiteFor all Data Set Change Notices, see the Data Set Change Notice (DSCN) Website

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ACCOMMODATION STATUS

Change to Class: Changed Relationships

Each ACCOMMODATION STATUS
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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ACTIVITY DATE TIME

Change to Class: Changed Attributes

Attributes of this Class are:
KACTIVITY DATE TIME TYPE
ACTIVITY START DATE
ACTIVITY DATE
ACTIVITY START TIME
ACTIVITY TIME

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ALCOHOL STATUS

Change to Class: Changed Relationships

Each ALCOHOL STATUS
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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ASPIRIN THERAPY LOCATION

Change to Class: Changed Relationships

Each ASPIRIN THERAPY LOCATION
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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BLEED COMPLICATION

Change to Class: Changed Relationships

Each BLEED COMPLICATION
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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CARE PLAN

Change to Class: Changed Attributes

Attributes of this Class are:
KCARE PLAN NUMBER
CANCER CARE PLAN INTENT
CARE PLAN AGREED DATE
CARE PLAN TYPE
MULTIDISCIPLINARY TEAM DISCUSSION DATE
MULTIDISCIPLINARY TEAM DISCUSSION DATE CANCER
NO CANCER TREATMENT REASON
PATIENT ON IMMUNOSUPPRESSIVE THERAPY
PRIMARY CARE COMMUNICATION SENT DATE
RECURRENCE INDICATOR
SOCIAL WORKER INVOLVEMENT INDICATOR
SOCIAL WORKER INVOLVEMENT INDICATOR1

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ELECTIVE ADMISSION LIST ENTRY

Change to Class: Changed Description

An entry on an ELECTIVE ADMISSION LIST denoting a PATIENT for whom the DECISION TO ADMIT has been made.

Being placed on the ELECTIVE ADMISSION LIST will result in an ELECTIVE ADMISSION LIST ENTRY. When the ELECTIVE ADMISSION LIST ENTRY is first recorded, the ORIGINAL DECIDED TO ADMIT DATE should be recorded as the same as the DECIDED TO ADMIT DATE of the first DECISION TO ADMIT.

It is possible for a PATIENT to have more than one ELECTIVE ADMISSION LIST ENTRY, either for a different condition or for the same condition where two or more admissions are required.

Only one ELECTIVE ADMISSION LIST ENTRY should be made in the event of the intention to perform two or more procedures during one admission.

To monitor key targets it is necessary for the Health Care Provider responsible for the ELECTIVE ADMISSION LIST, to record the date of any previous OFFERS OF ADMISSION for the same condition, which was made by a previous Health Care Provider and then cancelled byc50b81d3-375d-11d6-a913-c6794ab2cd13 them on the day of or after admission for non-medical reasons.To monitor key targets it is necessary for the Health Care Provider responsible for the ELECTIVE ADMISSION LIST, to record the date of any previous OFFERS OF ADMISSION for the same condition, which was made by a previous Health Care Provider and then cancelled by them on the day of or after admission for non-medical reasons.

The ELECTIVE ADMISSION LIST ENTRY is removed from the WAITING LIST when the PATIENT is admitted or removed for other specified reasons. ELECTIVE ADMISSION LIST REMOVAL REASON records the method of removal from the list and ELECTIVE ADMISSION LIST REMOVAL DATE records the removal date.

Once removed from the ELECTIVE ADMISSION LIST, the PATIENT ceases to be waiting for admission and all associated OFFERS OF ADMISSION become inactive.

Note: An ELECTIVE ADMISSION LIST ENTRY must be related to a DECISION TO ADMIT.

 

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ETHNIC CATEGORY

Change to Class: Changed Relationships

Each ETHNIC CATEGORY
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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JOINT REPLACEMENT REVISION CLASSIFICATION

Change to Class: Changed Relationships

Each JOINT REPLACEMENT REVISION CLASSIFICATION
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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LANGUAGE CLASSIFICATION

Change to Class: Changed Relationships

Each LANGUAGE CLASSIFICATION
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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LEGAL STATUS CLASSIFICATION

Change to Class: Changed Relationships

Each LEGAL STATUS CLASSIFICATION
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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ORGANISATION

Change to Class: Changed Relationships

Each ORGANISATION
may be a supplier of one or more ACTIVITY
may be the originator of one or more CARE PLAN
may be the employer of one or more CARE PROFESSIONAL ORGANISATION
may be related to one or more CLINICAL INVESTIGATION SERVICE PROVIDER
may be contacted by one or more COMMUNICATION CONTACT INFORMATION
may be the operator and manager of one or more DEPARTMENT
may be the subject of one or more ELECTIVE ADMISSION LIST
may be the employer of one or more EMPLOYEE IN ORGANISATION
may be agreeing to one or more EMPLOYEE PLAN
may be the resident in one or more GEOGRAPHIC AREA
may be NULL one or more GEOGRAPHIC AREA ASSOCIATION
may be the subject of one or more GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
may be the recipient of one or more GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
may be the payee of one or more GMP PAYMENT OR REIMBURSEMENT
may be the lead for one or more HEALTH PROGRAMME
may be the creator and updater of one or more LOCATION
may be commissioner of one or more NHS SERVICE AGREEMENT
may be playing one or more ORGANISATION ACTIVITY ROLE
may be the owner of one or more ORGANISATION DEPARTMENT
may be recorded as one or more ORGANISATION REGISTRATION
may be the second party in one or more ORGANISATION RELATIONSHIP
may be the first party in one or more ORGANISATION RELATIONSHIP
may be related to one or more ORGANISATION REPORTING PERIOD
may be operator or manager of one or more ORGANISATION SITE
may be the registered organisation for one or more PATIENT ORGANISATION
may be the issuer of the identifier of one or more PATIENT PATHWAY
may be NULL one or more PERSON OR ORGANISATION ADDRESS
may be the holder of one or more PHARMACEUTICAL PRODUCT STOCK
may be intending to provide one or more PLANNED ACTIVITY
may be controller of one or more POSITION
may be fund holder of one or more POSITION NON-NHS FUNDING
may be the place of treatment for one or more PRIOR NOTIFICATION LIST ENTRY
may be the subject of one or more PRIOR NOTIFICATION LIST FOR CYTOLOGY
may be play a role within one or more PROVIDER IN SERVICE AGREEMENT
may be qualification awarding body one or more QUALIFICATION
may be holder of one or more REGISTER
may be give one or more RIGHT OF ADMISSION
may be request one or more SERVICE REPORT
may be receive a copy of one or more SERVICE REPORT
may be issue one or more SERVICE REPORT
may be the originator of one or more SERVICE REQUEST
may be the subject of one or more SINGLE SEX ACCOMMODATION TARGET
may be provider of one or more TRAINING ACTIVITY
may be the recipient of one or more TRANSPORT REQUEST
may be the responsible owner organisation of one or more WAITING LIST
may be the receiver of one or more WRITTEN COMPLAINT

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PATIENT CLINICAL GROUP

Change to Class: Changed Relationships

Each PATIENT CLINICAL GROUP
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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PERFORMANCE STATUS

Change to Class: Changed Relationships

Each PERFORMANCE STATUS
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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PERSON GENDER

Change to Class: Changed Relationships

Each PERSON GENDER
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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PERSON MARITAL STATUS

Change to Class: Changed Relationships

Each PERSON MARITAL STATUS
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION

Change to Class: Changed Relationships

Each RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION
must be in one and only one RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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SARCOMA PREDISPOSING CONDITION

Change to Class: Changed Relationships

Each SARCOMA PREDISPOSING CONDITION
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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SERVICE REQUEST

Change to Class: Changed Relationships

Each SERVICE REQUEST
Kmust be for one and only one PATIENT
must be made by one and only one CARE PROFESSIONAL ORGANISATION
or must be made by one and only one ORGANISATION
or may be the reason for one or more TRANSPORT REQUIREMENT
must be made to one and only one CARE PROFESSIONAL ORGANISATION
or must be made to one and only one SERVICE POINT
must be part of one and only one PATIENT PATHWAY
must be categorised by one and only one TREATMENT FUNCTION
may be resultant in one or more APPOINTMENT
may be the result of one and only one CARE ACTIVITY
may be the initiator of one or more CARE ACTIVITY
may be the result of one and only one CLINICAL INTERVENTION
may be for one or more CLINICAL INTERVENTION
may be the result of one and only one DECISION TO REFER
may be offered from one and only one HEALTH PROGRAMME
may be the reason for one or more PLANNED ACTIVITY
may be the main one linked to one or more SERVICE REQUEST RELATIONSHIP
may be a subsequent one in one or more SERVICE REQUEST RELATIONSHIP

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SEXUAL ORIENTATION

Change to Class: Changed Relationships

Each SEXUAL ORIENTATION
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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SKIN LYMPHOMA MORPHOLOGY

Change to Class: Changed Relationships

Each SKIN LYMPHOMA MORPHOLOGY
may be category for one or more CATEGORY VALUED PERSON OBSERVATION
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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ACTIVITY GROUP TYPE

Change to Attribute: Changed Description

One of the business definitions listed in the ACTIVITY GROUP class as a type of this class.

Consultant Episode (Hospital Provider) has four 'sub types' (General, Birth, Delivery and Detained and Long Term Psychiatric Patient Census) which form four individual ACTIVITY GROUP TYPE values.

National Codes:

01Accident And Emergency Episode 
02Acute Myocardial Infarction Care Spell 
03Augmented Care Period - Retired CP724 
04Breast Cancer Care Spell 
05Cancer Care Spell 
06Care Home Stay (Consultant Care) 
07Care Home Stay (Midwife Care) 
08Care Home Stay (Nursing Care) 
09Care Home Stay (Residential) 
10Care Programme Approach Episode 
11Colorectal Cancer Care Spell 
12Community Episode 
13Consultant Episode (Acute Home-Based) 
14Consultant Episode (Hospital Provider) 
15Consultant Out-Patient Episode 
16Dental Episode 
17Drug Misuse Episode 
18Genitourinary Episode 
19Head And Neck Cancer Care Spell 
20Home Dialysis Episode 
21Hospital Provider Spell 
22Lung Cancer Care Spell 
23Mental Health Care Spell 
23MHC Without Patient Consent 
24Midwife Episode 
25Neonatal Level Of Care Period 
26Nursing Episode 
27Palliative Care Episode 
28PERSON STOP SMOKING EPISODE 
29Pregnancy Episode 
30Professional Staff Group Episode 
31Regular Attender Episode 
32Road Traffic Accident Treatment
33Sarcoma Care Spell 
34Skin Cancer Care Spell 
35Supervised Discharge Episode 
36Supervision Register Episode 
37Upper GI Cancer Care Spell 
38Urological Cancer Care Spell 
39Ward Stay 
40Hospital Stay 
41Care Spell 
42CRITICAL CARE PERIOD 
43PATIENT PATHWAY 
44REFERRAL TO TREATMENT PERIOD 
45Active Monitoring 
46Supervised Community Treatment Recall 
47Supervised Community Treatment 
48Mental Health Care Without Patient Consent

Note: The list is not in alphabetical order.

 

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MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER)

Change to Attribute: Changed Aliases


ARRIVAL TIME

Change to Data Element: Changed Description

Format/length:see TIME 
HES item: 
National Codes: 
Default Codes: 

Notes:
The time of arrival in the Accident And Emergency Department or for Urgent Transport Requests this records the time the vehicle arrives at the specified destination. The time should be recorded using the 24 hour clock.

ARRIVAL TIME is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 02 'Arrival Date'.ARRIVAL TIME is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 55 'Arrival Time'.

Accident And Emergency Department is a DEPARTMENT where the DEPARTMENT TYPE is National Code 01 'Accident And Emergency Department'.

Urgent Transport Request is a TRANSPORT REQUEST where the TRANSPORT REQUEST TYPE is National Code 02 'Urgent Transport Request'.

 

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DELIVERY METHOD

Change to Data Element: Changed Description, linked Attribute

Format/length:n1
HES item:DELMETH
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See DELIVERY METHOD
Default Codes: 

Notes:
Additional National Code guidance not contained in the attribute definition is given below. It is shown in italics.
0Spontaneous vertex (normal vaginal delivery, occipitoanterior) 
1Spontaneous other cephalic (cephalic vaginal delivery with abnormal presentation of head at delivery, without instruments, with or without manipulation) 
2Low forceps, not breech (e.g. forceps, low application, without manipulation. Includes forceps delivery not otherwise specified) 
3Other forceps, not breech (e.g. forceps with manipulation. Includes high forceps and mid forceps) 
4Ventouse, vacuum extraction
5Breech (spontaneous delivery assisted or unspecified. Includes partial breech extraction) 
6Breech extraction (not otherwise specified. Includes total breech extraction and version with breech extraction) 
7Elective caesarean section (caesarean section before, or at onset of, labour) 
8Emergency caesarean section
9Other than those specified above (e.g. application of weight to leg in breech delivery. Includes destructive operation to facilitate delivery and other surgical or instrumental delivery) 

Without extending the width of this field to two characters it is not possible to accommodate a value of 'Not known', therefore the use of 8 and 9 in this field represent exceptions to the general rule.

 

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DELIVERY METHOD

Change to Data Element: Changed Description, linked Attribute

DELIVERY METHOD
 
Attribute:
DELIVERY METHOD

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GENERAL MEDICAL PRACTITIONER (SPECIFIED)

Change to Data Element: Changed Description

Format/length:an8
HES item:REGGMP
National Codes: 
Default Codes:G9999998 - General Medical Practitioner PPD Code not known
 R9999981 - Referrer other than General Medical Practitioner, General Dental Practitioner or Consultant
 Other GP Codes
 A9999998 - Ministry of Defence Doctor

Notes:
This is the code of the GENERAL MEDICAL PRACTITIONER specified by the PATIENT.

This is a GENERAL MEDICAL PRACTITIONER within the General Medical Practitioner Practice that the PATIENT is registered.

The General Medical Council allocates all doctors a GENERAL MEDICAL COUNCIL REFERENCE NUMBER on their first contact with the General Medical Council.
Note - when a doctor is registered to practise medicine in the United Kingdom, their details will appear on the "General Medical Council List of Registered Medical Practitioners" (LRMP).

If an NHS doctor chooses to enter general practice, a further number is allocated, the DOCTOR INDEX NUMBER, by the Health and Social Care Information Centre. This number is passed to the Primary Care Trust requesting the number who then liaise with NHS Prescription Services on the issue of prescription pads etc. NHS Prescription Services use the number to derive the GENERAL MEDICAL PRACTITIONER PPD CODE by prefixing it with the character 'G' and adding a check digit at the end.

The GENERAL MEDICAL PRACTITIONER code is an eight character alphanumeric code, see PERSON IDENTIFIER and GENERAL MEDICAL PRACTITIONER PPD CODE.

When a locum refers, use the code of the GENERAL PRACTITIONER for whom the locum is acting. See GENERAL MEDICAL PRACTITIONER PPD CODE.

For GENERAL PRACTITIONERS working in hospitals, the following codes should be used:

 if the GENERAL PRACTITIONER is working as an assistant, use the code of the responsible GENERAL MEDICAL PRACTITIONER (SPECIFIED);
 if the GENERAL PRACTITIONER is working as a GENERAL MEDICAL PRACTITIONER (SPECIFIED), use the GENERAL PRACTITIONER's GENERAL MEDICAL COUNCIL REFERENCE NUMBER.

Whilst Ministry of Defence doctors provide general medical services to their communities, they are not GENERAL MEDICAL PRACTITIONERS and should not be recorded as Registered GENERAL MEDICAL PRACTITIONERS. They can refer (REFERRER CODE).

For the Organisation Data Service contact details, see Contact Details.


GMP (CODE OF REGISTERED OR REFERRING GMP) DESCRIPTION REPLACED 1 JUNE 2008.

This is the code of the GENERAL MEDICAL PRACTITIONER (GMP) with whom the PATIENT is registered.

A doctor receives a GENERAL MEDICAL COUNCIL REFERENCE NUMBER on qualification. If he/she then chooses to enter general practice, a further number is allocated (the DOCTOR INDEX NUMBER) by the Health and Social Care Information Centre. This number is passed to the Primary Care Trust (PCT) requesting the number who then liaise with the NHS Business Services Authority Prescription Pricing Division on the issue of prescription pads etc. The NHS Business Services Authority Prescription Pricing Division use the number to derive the GENERAL MEDICAL PRACTITIONER PPD CODE by prefixing it with the character 'G' and adding a check digit at the end. The GENERAL MEDICAL PRACTITIONER code linked to his/her main practice is included on the National Administrative Codes Service (NACS) CD-ROM and the NACS NHSnet website.

The GENERAL MEDICAL PRACTITIONER code is an eight character alphanumeric code, see PERSON IDENTIFIER and GENERAL MEDICAL PRACTITIONER PPD CODE.

When a locum refers, use the code of the GENERAL PRACTITIONER for whom the locum is acting. See GENERAL MEDICAL PRACTITIONER PPD CODE.

For GENERAL PRACTITIONERS working in hospitals, the following codes should be used:

-if the GENERAL PRACTITIONER is working as an assistant, use the code of the responsible consultant;
-if the GENERAL PRACTITIONER is working as a consultant, use the GENERAL PRACTITIONER's GENERAL MEDICAL COUNCIL REFERENCE NUMBER.

Whilst Ministry of Defence (MoD) doctors provide general medical services to their communities, they are not GENERAL MEDICAL PRACTITIONERS and should not be recorded as Registered GENERAL MEDICAL PRACTITIONERS. They can refer (REFERRER CODE).

For the National Administrative Codes Service (NACS) contact details, see Contact Details.

 

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HRG DOMINANT GROUPING VARIABLE-PROCEDURE

Change to Data Element: Changed Description

Format/length:annn
HES item: 
National Codes: 
Default Codes: 

Notes:
The National Schedule of Reference Costs, developed by the Department of Health, uses Healthcare Resource Groups as the basis for costing in-patient and day case services. Healthcare Resource Groups are derived from existing Commissioning Data Set data items using an algorithm and a software package developed by the Health and Social Care Information Centre .

The HRG DOMINANT GROUPING VARIABLE-PROCEDURES is a field derived by the Healthcare Resource Group Acute Inpatient Grouper. It represents the procedure that the Healthcare Resource Group grouping algorithm has identified as having the greatest effect upon the resources consumed by a PATIENT. It is required for the production of the National Schedule of Reference Costs reports.

The HRG DOMINANT GROUPING VARIABLE-PROCEDURES have the same data format, rules and attributes as OPCS-4 codes for Patient Procedure, see also PROCEDURE CODING.

DSCN 08/2000 includes HRG DOMINANT GROUPING VARIABLE-PROCEDURES in the Commissioning Data Set to standardise the handling of this data item within the Commissioning Data Set and the Secondary Uses Service database. It is mandatory from 01/10/2001.

Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'.

 

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PATIENT CLASSIFICATION

Change to Data Element: Changed Description

Format/length:n1
HES item:CLASSPAT
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See PATIENT CLASSIFICATION
Default Codes:8 - Not applicable

Notes:
PATIENT CLASSIFICATION is derived from the ADMISSION METHOD, INTENDED MANAGEMENT and the duration of stay of the PATIENT. The duration of stay is derived by subtracting the date of admission from the date of discharge.

In the case of maternity PATIENTS, the use being made of the delivery facilities is also used in this derivation.

 

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PRIMARY OPERATION (OPCS-4)

Change to Data Element: Changed Description

Format/length:an4
HES item:OPERATN1
HES item:OPERTN1
National Codes: 
Default Codes: 

Notes:
See PROCEDURE CODING for details on coding.

'Primary' is a classification of PATIENT PROCEDURE CODING SIGNIFICANCE of INTERVENTION CLASSIFICATION ASSOCIATION for the OPCS-4 code of an OPERATIVE PROCEDURE.

 

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PRIMARY PROCEDURE (OPCS)

Change to Data Element: Changed Description

Format/length:an4
HES item: 
HES item:OPERTN1
National Codes: 
Default Codes: 

Notes:
See PROCEDURE CODING for details on coding.

'Primary' is a classification of PATIENT PROCEDURE CODING SIGNIFICANCE of INTERVENTION CLASSIFICATION ASSOCIATION for the OPCS-4 code of an OPERATIVE PROCEDURE.

 

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PROCEDURE CODING

Change to Data Element: Changed Description

Format/length:annn for OPCS-4, an7 for Clinical Terms (The Read Codes)
HES item:OPERATN
HES item:OPERTN
National Codes: 
Default Codes:X998 - Out-patient procedure carried out but no appropriate OPCS-4 code available
 X999 - No out-patient procedure carried out

Notes:

This is a CLINICAL CLASSIFICATION CODE.

See OPCS Classification of Interventions and Procedures for Classification of Surgical Operations and Procedures (OPCS-4) and Read Coded Clinical Terms.

Record any operative procedures carried out, such as an endoscopy or electro-convulsive therapy (ECT), as part of the current consultant episode.

Clinical Terms (The Read Codes) (an7) may be used as an optional addition to OPCS-4.

The recording of procedures using OPCS-4 is now optional for the Out-Patient/Ward Attenders Commissioning Data Set. If required, a default code may be used in the first procedure field and subsequent procedure fields space-filled.

Where providers locally use OPCS-4 codes with a fifth character added, this should be removed before inclusion in the Commissioning Data Set.

 

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REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)

Change to Data Element: Changed linked Attribute

REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)
 
Attribute:
REFERRAL DATE (retired)

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REFERRER CODE

Change to Data Element: Changed Description

Format/length:an8
HES item:REFERRER
National Codes: 
Default Codes:C9999998 - Consultant General Medical Council (GMC) number not known
 CD999998 - Dental Consultant: General Medical Council (GMC) number/ General Dental Council (GDC) number not known
 D9999998 - Dentist, Dental Practice Board (DPB) number not known
 R9999981 - Referrer other than General Medical Practitioner, General Dental Practitioner or Consultant
 X9999998 - Not applicable, e.g. patient has self-presented or not known

Notes:
This requires the code of the PERSON making the referral. This will normally be a CARE PROFESSIONAL - a GENERAL MEDICAL PRACTITIONER or a CONSULTANT.

The intention is for this item to reflect the actual (true) referrer. For example, following a GENERAL MEDICAL PRACTITIONER referral, a CONSULTANT may subsequently refer the PATIENT to another CONSULTANT within the Hospital Provider Spell. The code of the CONSULTANT making the referral and the CONSULTANTS ORGANISATION should be recorded in the Commissioning Data Set (CDS) rather than the code of the GENERAL MEDICAL PRACTITIONER referrer. This also applies where a CONSULTANT refers an NHS PATIENT to another doctor for NHS-commissioned treatment at another NHS Trust, a non-NHS provider, or an overseas provider. This also applies where a CONSULTANT refers an NHS PATIENT to another doctor for NHS-commissioned treatment at another NHS Trust, a non-NHS provider, or an overseas provider. Where the CONSULTANT CODE is not known, the default value C9999998 should be used.

In all other cases, the code of the referring GENERAL MEDICAL PRACTITIONER should be recorded, if applicable. When a locum refers, use the code of the GENERAL PRACTITIONER for whom the locum is acting. See GENERAL MEDICAL PRACTITIONER PPD CODE.

See CONSULTANT CODE and GENERAL MEDICAL PRACTITIONER (SPECIFIED) for the codes available for CONSULTANTS and GENERAL MEDICAL PRACTITIONERS and GENERAL DENTAL PRACTITIONERS and Ministry of Defence (MoD) Doctors.

If the REFERRER CODE is not known or not applicable e.g., the PATIENT has self-presented, the default code (X9999998) should be used.

Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.

 

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TOTAL INFORMAL ADMISSIONS (FEMALE)

Change to Data Element: Changed Description

Format/length:n10
HES item: 
National Codes: 
Default Codes: 

Notes:
The total number of female PATIENTS informally detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD.

It excludes transfers between Health Care Providers and between Hospital Sites of the same Health Care Provider which initiate a new Hospital Provider Spell where the LEGAL STATUS CLASSIFICATION CODE is unchanged but includes such transfers where the LEGAL STATUS CLASSIFICATION CODE does change.

It excludes admissions where the PATIENT is being treated under an active Supervised Community Treatment and/or subject of a Supervised Community Treatment Recall.

1. It is a count of the total number of admissions for all PATIENTS within the Health Care Provider where:
  a.the Hospital Provider Spell has a Start Date on or after the REPORTING PERIOD START DATE and the Start Date is before or on the REPORTING PERIOD END DATE 
   and
   where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell
  and 
  b.the PERSON PROPERTY EFFECTIVE DATE for the LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
  and 
  c.the LEGAL STATUS CLASSIFICATION CODE is National Code 01 'Informal' 
  and 
  d.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 2 'Female' 
   and
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current' 
2. Where no admissions match these criteria then TOTAL INFORMAL ADMISSIONS (FEMALE) should be set to zero.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Hospital Provider Spells, Hospital Stays, Consultant Episodes (Hospital Provider), Care Home Stays (Consultant Care), Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.Hospital Provider Spells, Hospital Stays, Consultant Episodes (Hospital Provider), Care Home Stays (Consultant Care)Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

 

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TOTAL INFORMAL ADMISSIONS (MALE)

Change to Data Element: Changed Description

Format/length:n10
HES item: 
National Codes: 
Default Codes: 

Notes:
The total number of male PATIENTS informally detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD.

It excludes transfers between Health Care Providers and between Hospital Sites of the same Health Care Provider which initiate a new Hospital Provider Spell where the LEGAL STATUS CLASSIFICATION CODE is unchanged but includes such transfers where the LEGAL STATUS CLASSIFICATION CODE does change.

It excludes admissions where the PATIENT is being treated under an active Supervised Community Treatment and/or subject of a Supervised Community Treatment Recall.

1. It is a count of the total number of admissions for all PATIENTS within the Health Care Provider where:
  a.the Hospital Provider Spell has a Start Date on or after the REPORTING PERIOD START DATE and the Start Date is before or on the REPORTING PERIOD END DATE 
   and
   where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spelll
   where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell
  and 
  b.the PERSON PROPERTY EFFECTIVE DATE for the LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
  and 
  c.the LEGAL STATUS CLASSIFICATION CODE is National Code 01 'Informal' 
  and 
  d.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 1 'Male' 
   and
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current' 
2. Where no admissions match these criteria then TOTAL INFORMAL ADMISSIONS (MALE) should be set to zero.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Hospital Provider Spells, Hospital Stays, Consultant Episodes (Hospital Provider), Care Home Stays (Consultant Care), Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.Hospital Provider Spells, Hospital Stays, Consultant Episodes (Hospital Provider), Care Home Stays (Consultant Care)Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

 

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TOTAL INFORMAL PATIENTS (FEMALE)

Change to Data Element: Changed Description

Format/length:n10
HES item: 
National Codes: 
Default Codes: 

Notes:
The total number of female PATIENTS informally detained under the Mental Health Act resident with a current Hospital Provider Spell as at the REPORTING PERIOD END DATE.

1. It is a count of the total number of PATIENTS resident with a Hospital Provider Spell within the Health Care Provider at the REPORTING PERIOD END DATE where:
  a.the Hospital Provider Spell has a Start Date on or before the REPORTING PERIOD END DATE 
   and
   the Hospital Provider Spell has no recorded Discharge Date i.e. the Hospital Provider Spelll is still active
   the Hospital Provider Spell has no recorded Discharge Date i.e. the Hospital Provider Spell is still active
   or
   the Discharge Date is after the REPORTING PERIOD END DATE i.e. the Hospital Provider Spell was active as at the REPORTING PERIOD END DATE 
  and 
  b.the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.
  and 
  c.the current LEGAL STATUS CLASSIFICATION CODE is National Code 01 'Informal' 
  and 
  d.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 2 'Female' 
   and
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current' 
2. Where no patients match these criteria then TOTAL INFORMAL PATIENTS (FEMALE) should be set to zero.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Discharge Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 09 'Discharge Date' for the ACTIVITY GROUP.

Hospital Provider Spells, Hospital Stays, Consultant Episodes (Hospital Provider), Care Home Stays (Consultant Care), Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.Hospital Provider Spells, Hospital Stays, Consultant Episodes (Hospital Provider), Care Home Stays (Consultant Care)Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

 

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TOTAL INFORMAL PATIENTS (MALE)

Change to Data Element: Changed Description

Format/length:n10
HES item: 
National Codes: 
Default Codes: 

Notes:
The total number of male PATIENT informally detained under the Mental Health Act resident with a current Hospital Provider Spell as at the REPORTING PERIOD END DATE.

1. It is a count of the total number of PATIENTS resident with a Hospital Provider Spell within the Health Care Provider at the REPORTING PERIOD END DATE where:
  a.the Hospital Provider Spell has a Start Date on or before the REPORTING PERIOD END DATE 
   and
   the Hospital Provider Spell has no recorded Discharge Date i.e. the Hospital Provider Spell is still active
   or
   the Discharge Date is after the REPORTING PERIOD END DATE i.e. the Hospital Provider Spell was active as at the REPORTING PERIOD END DATE 
  and 
  b.the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.
  and 
  c.the current LEGAL STATUS CLASSIFICATION CODE is National Code 01 'Informal' 
  and 
  d.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 1 'Male' 
   and
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current' 
2. Where no patients match these criteria then TOTAL INFORMAL PATIENTS (MALE) should be set to zero.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Discharge Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 09 'Discharge Date' for the ACTIVITY GROUP.

Hospital Provider Spells, Hospital Stays, Consultant Episodes (Hospital Provider), Care Home Stays (Consultant Care), Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.Hospital Provider Spells, Hospital Stays, Consultant Episodes (Hospital Provider), Care Home Stays (Consultant Care)Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

 

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TOTAL NUMBER OF LEGAL STATUS CLASSIFICATION CHANGES FOR TYPE

Change to Data Element: Changed Description

Format/length:n10
HES item: 
National Codes: 
Default Codes: 

Notes:
The total number of changes of LEGAL STATUS CLASSIFICATION CODE for PATIENTS detained under the Mental Health Act and with a Hospital Provider Spell during the REPORTING PERIOD for a LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE.

Where the PATIENT has been discharged from a Hospital Provider Spell during the REPORTING PERIOD, the LEGAL STATUS CLASSIFICATION CODE at the Discharge Date for the Hospital Provider Spell should be treated as National Code 01 'Informal'.

All changes from one LEGAL STATUS CLASSIFICATION CODE to another that is not individually specified in LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE should be aggregated to LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE classification value 27 'LEGAL STATUS CLASSIFICATION CODE All other changes not specified'.

It only includes changes from LEGAL STATUS CLASSIFICATION CODE National Code 19 'Formally detained under Mental Health Act 135' and 20 'Formally detained under Mental Health Act 136' where the admission to the Hospital Provider Spell was to a Hospital Site.

It excludes any changes in Hospital Provider Spells where the admission is under an active Supervised Community Treatment and/or subject of a Supervised Community Treatment Recall.

1. It is a count of the total number of changes of LEGAL STATUS CLASSIFICATION CODE for all PATIENTS within the Health Care Provider for a given LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE where:
  a.the Hospital Provider Spell has a Start Date on or before the REPORTING PERIOD END DATE 
   and
   the Hospital Provider Spell has no recorded Discharge Date i.e. the Hospital Provider Spell is still active
   or
   the recorded Discharge Date is after the REPORTING PERIOD END DATE i.e. the Hospital Provider Spelll was active as at the REPORTING PERIOD END DATE 
   the recorded Discharge Date is after the REPORTING PERIOD END DATE i.e. the Hospital Provider Spell was active as at the REPORTING PERIOD END DATE 
   or
   the recorded Discharge Date is after the REPORTING PERIOD START DATE and before or on the REPORTING PERIOD END DATE i.e. the Hospital Provider Spell was active during the REPORTING PERIOD 
  and 
  b.the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.
   Note: for LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE set value 06 and 13, and 18 only include changes from LEGAL STATUS CLASSIFICATION CODE National Code 20 'Formally detained under Mental Health Act 136' where the admission to the Hospital Provider Spelll was to a Hospital Stay.
   Note: for LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE set value 06 and 13, and 18 only include changes from LEGAL STATUS CLASSIFICATION CODE National Code 20 'Formally detained under Mental Health Act 136' where the admission to the Hospital Provider Spell was to a Hospital Stay.
   Note: for LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE set value 27 only include changes from LEGAL STATUS CLASSIFICATION CODE National Code 19 'Formally detained under Mental Health Act 135' where the admission to the Hospital Provider Spell was to a Hospital Stay.
  and 
  c.the PERSON PROPERTY EFFECTIVE DATE for the change to LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is on or after the REPORTING PERIOD START DATE and is on or before the REPORTING PERIOD END DATE 
   and
   the PERSON PROPERTY EFFECTIVE DATE for the change from LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the latest preceding the PERSON PROPERTY EFFECTIVE DATE for the change to LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION and is for the same Hospital Provider Spelll
   the PERSON PROPERTY EFFECTIVE DATE for the change from LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the latest preceding the PERSON PROPERTY EFFECTIVE DATE for the change to LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION and is for the same Hospital Provider Spell
  and 
  d.the from and to LEGAL STATUS CLASSIFICATION CODES corresponds to the LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE 
2. Where no changes match these criteria then TOTAL NUMBER OF LEGAL STATUS CLASSIFICATION CHANGES FOR TYPE should be set to zero.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Discharge Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 09 'Discharge Date' for the ACTIVITY GROUP.

Hospital Provider Spells, Hospital Stays, Consultant Episodes (Hospital Provider), Care Home Stays (Consultant Care), Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.Hospital Provider Spells, Hospital Stays, Consultant Episodes (Hospital Provider), Care Home Stays (Consultant Care)Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

 

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